Active NPI
Gerald Zupnick, M.D.
- Family Medicine Physician
- Port Washington, NY
National Provider Identifier
1760568851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 106564
- Practice address
- 15 Hampton Rd
Port Washington, NY 11050-3008 - Phone
- (516) 439-8001
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 106564 | NY | Primary |
Addresses
Primary practice location
15 Hampton Rd
Port Washington, NY 11050-3008
Mailing address
15 Hampton Rd
Port Washington, NY 11050-3008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00485332 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106564 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Hudson Peconic Inc. | Current | Accepting new patients | |
| Planned Parenthood HP | Past | Accepting new patients |
Locations
570 Taxter Rd
Ste 250
Elmsford, NY 10523
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Family Planning Facility
- Smithtown, NY
- NPI 1285701672
-
- Ambulatory Surgical Clinic/Center
- Jamaica, NY
- NPI 1194832949
-
- Specialist
- Jamaica, NY
- NPI 1609897834
-
- Health Maintenance Organization
- West Islip, NY
- NPI 1588729560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1760568851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HAMPTON RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 HAMPTON RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503008",
"telephone_number": "516-439-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUPNICK",
"first_name": "GERALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "106564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00485332",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.